AMPS-Con26 "*" indicates required fields Name* First Last Institution or Laboratory*Location State / Province / Region AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail* Consent I give permission to include my name state/country on a list of delegates attending the meeting. RegistrationThis field is hidden when viewing the formDate MM slash DD slash YYYY This field is hidden when viewing the formEarly Bird Label Registration*Pathologist / Medical SpecialistScientistRegistrar / TraineeGuest Speaker PathologistGuest Speaker ScientistSponsor / ExhibitorEarly Bird pricing ends 7th March 2026To benefit from the trainee registration price, Australian candidates should be AHPRA listed as general (not specialist) registration. Overseas candidates should have a letter from their Head of Department or similar stating they are in a training program.The Conference Dinner is complimentary with your registration. You must still select it below to reserve your seat.Conference Dinner ( $90 )* 1 x Conference Dinner Seat No The Wednesday evening Conference Dinner will be held at Brisbane's premier Como Restaurant, in Brisbane's South Bank. Drinks are included. Numbers are strictly limited and bookings are essential.Dietary Requirements?If so, please list / details. (e.g. gluten free) As a Sponsor/ Exhibitor you receive a complimentary pass to attend the conference for two days. You have the option to purchase two further representatives @ $90 per dayAdditional Representative One ( Optional ) Price: Day/s Wednesday 27th May Thursday 28th May Name*Email* Dietary Requirements?Additional Representative Two ( Optional ) Price: Day/s Wednesday 27th May Thursday 28th May Name*Email* Dietary Requirements? Total Requests for cancellation need to be made in writing to events@ampath.org.au.Cancellations prior to 24 April 2026 will receive a full refund. Cancellations between 25 April and 12 May will receive a 50% refund. Cancellations after 12 May are non refundable. All cancellations will incur a $55 cancellation fee. PaymentCredit CardCard Details Cardholder Name
